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Meeting Date	May 4, 2011
First Name	*
Last Name	*
Company	*
Address	*
City	*
State	AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming *
Zipcode	*
E-mail	*
Telephone	*
Is This Your First Dulles SHRM Meeting?	No Yes
Meeting Cost	$200
Meeting Payment	Online Credit Card Check or Cash *
Non-Members -- Dues are only $30! Join the Chapter for $30 and pay the member rate of $150 You will save $20 over the non-member registration fee! To join Click Here

Registration closes on May 1, 2011
No Refunds will be processed after that date.